NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AAdvise the family to see their doctor next week
2. BApply a soothing cream to the rash
3. CGive acetaminophen (paracetamol) and reassess in four hours
4. DTreat it as an emergency and escalate at once

START triyajı sırasında bir erişkin solumuyor. Hava yolu yeniden pozisyonlanıyor ve kurban hâlâ solumuyor. Doğru kategori nedir?

1. AKırmızı, çünkü solunumun olmaması en acil bulgudur
2. BKırmızı ve hemen CPR başlatmak
3. CSarı ve daha sonra geri dönmek
4. DSiyah (ölü veya beklenen ölüm)

A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?

1. AThe pump will always stop any overdose
2. BFamily can press it as long as they count the presses
3. COnly the patient should press it, because this keeps the system safe
4. DPressing it while the patient sleeps prevents the pain from getting worse later

A nurse cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?

1. ADocument the absence at the end of the shift
2. BAlert staff and security at once, following the missing-patient procedure
3. CCall the family to ask whether the patient has gone home on their own
4. DWait an hour in case the patient comes back

Şüpheli sepsisi olan bir hastada kan kültürleri ne zaman alınmalıdır?

1. AYalnızca ateş üç günden uzun sürerse
2. BAntibiyotiklerin ilk üç dozundan sonra
3. CAntibiyotikler sonucu etkilemediği için herhangi bir zamanda
4. Dİlk antibiyotik dozundan önce, onu çok geciktirmeden

A patient taking isoniazid for latent TB reports nausea, loss of appetite and dark urine. The ALT is five times the upper limit of normal. What is the best action?

1. AContinue the isoniazid and give it with food to settle the stomach
2. BDouble the dose to finish the treatment course more quickly
3. CHold the isoniazid and report the findings to the prescriber at once
4. DReassure the patient that dark urine is a harmless drug effect

Bir beta bloker vermeden önce kontrol edilmesi gereken en önemli gözlem hangisidir?

1. AYalnızca kan şekeri
2. BKalp hızı ve kan basıncı
3. CYalnızca vücut sıcaklığı
4. DBağırsak hareketleri

A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?

1. ASerum cholesterol
2. BUrine output for the last day
3. CBody mass index
4. DCapillary blood glucose

A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?

1. AIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
2. BOne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
3. CDrive straight to hospital alone after any shock so the device can be checked by the team
4. DRemove the device battery at home if it fires more than once

A patient on an unfractionated heparin infusion has a nosebleed that will not stop, and the aPTT is far above the target range. What is the most appropriate action?

1. AIncrease the infusion, as the aPTT will settle
2. BStop the infusion, inform the prescriber and anticipate protamine
3. CGive vitamin K and continue the infusion at a slightly lower rate
4. DContinue the infusion at the same rate and pack the nose firmly

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AAvoiding large meals late in the evening
2. BEating smaller, more frequent meals
3. CMagnesium-containing antacids
4. DRaising the head of the bed at night

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

1. AUraemic pericarditis, which usually needs urgent dialysis
2. BIndigestion from phosphate binders
3. CA stable angina attack, which needs only a nitrate spray and rest
4. DA rib fracture from coughing

Akut üst GİS kanaması olan bir hastanın gelişte hemoglobini normaldir. Bu neden yanıltıcı olabilir?

1. AHer kan kaybından sonra hemoglobin başlangıçta her zaman yükselir
2. BHemoglobin ancak bir hafta boyunca sürekli kanamadan sonra düşer
3. CHemoglobin bağırsaktan kanamadan etkilenmez
4. DAncak sıvı kaymaları veya IV sıvılar kanı sulandırdıktan sonra düşer

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?

1. AFluid overload; reduce the infusion rate only
2. BLow blood glucose; give a sugary drink
3. CA normal reaction; give paracetamol and continue the infusion
4. DLine infection; escalate and take blood cultures